Individual provider Active NPI

Walter Emil Knittel

  • Pharmacist
  • Phillipsburg, NJ
National Provider Identifier
1558648113
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28R101271300 Issued in NJ
Practice address
96 Baltimore St
Phillipsburg, NJ 08865-1836
Phone
(908) 454-3151
NPI assigned
Nov 10, 2011
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28R101271300 NJ Primary

Addresses

Primary practice location

96 Baltimore St
Phillipsburg, NJ 08865-1836

Mailing address

128 Jackson Valley Rd
Oxford, NJ 07863-3318
Phone (908) 689-7571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28R101271300NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1558648113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 JACKSON VALLEY RD",
            "city": "OXFORD",
            "state": "NJ",
            "postal_code": "078633318",
            "telephone_number": "908-689-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 BALTIMORE ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651836",
            "telephone_number": "908-454-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNITTEL",
        "first_name": "WALTER",
        "middle_name": "EMIL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R101271300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.